How Well Does Your Doctor Understand Back Pain?

A newly published study indicates the knowledge most orthopedic surgeons and family physicians possess in managing simple low back pain (LBP) is far from stellar. The exact wording from the study abstract includes, "Both orthopaedic surgeons' and family physicians' knowledge of treating LBP is deficient." While our objective is not to bash the medical profession, we do want our patients and the general public to understand that the management of even simple back pain is often difficult. This is why chiropractors spend a significant number of years learning about and studying the back and spine as well as unique, safe, natural and effective ways to properly manage the many conditions that arise in this area. The results - Millions of people around the world have experienced the relief from pain and better overall health and wellness as a result of their chiropractic care. Perhaps you've heard as so many others have that chiropractors are the experts in treating back pain and many other conditions of the spine, extremities and body. If you or someone you know is suffering from back pain or other aches and pains, take that first step in getting relief – pick up the phone and call our office today!

Chiropractic Care Improves Urinary Incontinence In Some

A recently published case-series report indicates chiropractic care may be beneficial for certain individuals suffering from urinary incontinence. The report reviews 21 patients aged 13 to 90 years with a history of urinary incontinence for the preceding 4 months to 49 years with associated muscle dysfunction and low back and/or pelvic pain. Incontinence was so bad in 18 of the 21 that they had been wearing incontinence pads during the previous days and nights upon presenting themselves for treatment. All patients were evaluated and treated chiropractically for muscle impairments in the lumbar spine, pelvis and pelvic floor and low back and/or hip pain. Treatments included chiropractic manipulative therapy, flexion distraction manipulation and/or the use of a percussion instrument for the treatment of myofascial trigger points. The urinary incontinence symptoms resolved in 10 patients, considerably improved in 7 cases, and slightly improved in 4 cases. Periodic follow-up examinations for the past 6 years, and no less than 2 years, indicate the improvements of urinary incontinence for each patient remained stable.

Frequent Breaks Good For Blood Sugar

New research shows taking quick 2-minute activity breaks at 20-minute intervals as compared with sitting for hours straight after eating significantly improves blood sugar levels. In comparing the blood sugar levels of individuals who sat for extended periods of time after eating with those who took a 2-minute leisurely walk every 20 minutes after eating, there was a 24 percent decrease in the rise of blood sugar in those taking the leisurely walks. If instead of the leisurely walks the individuals participated in a moderate-intensity exercise, the decrease in blood sugar rise was closer to 30 percent - nearly the same benefit. Taking these short intermittent breaks from prolonged sitting after eating appears to have considerable metabolic benefits, effectively lowering both blood glucose and insulin. By simply contracting our muscles, such as in a brief leisurely walk, glucose is pulled into the muscle thereby reducing insulin levels. So if you're sitting at a desk or on the couch after a meal, try a quick 2-minute walk break a few times per hour to help keep your blood glucose and insulin levels optimal.

Chiropractic Groups Unite to Make Greater Impact on Capitol Hill

Hundreds of doctors of chiropractic (DCs), students and supporters converged on Washington, D.C. Feb. 15-18 as part of the 2012 National Chiropractic Legislative Conference (NCLC) with the Chiropractic Summit. For the first time, the American Chiropractic Association (ACA) was joined by the Chiropractic Summit in hosting the event, marking an historical step forward in unity of voice and purpose for the profession.

The Chiropractic Summit encompasses 41 organizations—includ­ing ACA, the Association of Chiropractic Colleges, the Congress of Chiropractic State Associations and the International Chiropractors Association—and was created to unite the profession. The Summit held its 16th meeting the day before NCLC.

During the legislative conference, attendees listened to speeches from more than 20 government leaders, received advocacy training and visited their elected officials on Capitol Hill to urge support for pro-chiropractic measures that would provide patients, veterans and active-duty military personnel greater access to the essential services provided by chiropractic physicians.

The meeting's keynote speakers were Sen. Orrin Hatch (R-Utah) and Howard Wasdin, DC, author of Seal Team Six: Memoirs of an Elite Navy Seal Sniper. Sen. Hatch, the ranking Republican on the powerful Senate Finance Committee and a member of the Senate Health, Education, Labor and Pensions Committee, talked about DCs' ability to help fill the primary care workforce gap and emphasized chiropractic’s efficacy and cost-effectiveness."We could save an awful lot of money…by fully utilizing doctors of chiropractic," said Hatch. "I really believe we can do so much more with preventative care with your help – and people will be so much healthier."

Dr. Wasdin shared the powerful story that inspired him to become a DC. He was shot three times in Mogadishu, Somalia, during the infamous "Black Hawk Down" mission. "A medical doctor saved my life," said Dr. Wasdin, who was plagued by pain and insomnia after his injuries. "But the services provided by a doctor of chiropractic saved my quality of life." He went on to talk about the importance of integrated health care teams, the struggles military veterans face as they transition back into civilian life and the necessity of chiropractic care for active-duty military and veterans. "Everybody coming back from over there needs the services provided by doctors of chiropractic," he said. "Carrying a 100 pound rucksack and a helmet for a year is a repetitive stress injury."

NCLC attendees also heard from:

Rep. Bruce Braley (D-Iowa), member of the Committee on Veterans' Affairs and the Veterans' Subcommittee on Economic Opportunity and cosponsor of the Chiropractic Care Available to All Veterans Act

Rima Cohen, counselor to the Secretary for Health Policy, Department of Health and Human Services

Rep. Bob Filner (D-Calif.), recipient of the NCLC Lifetime Outstanding Leadership Award for 20 years of steadfast support for doctors of chiropractic and their patients, and especially for his work in expanding chiropractic in the U.S. Department of Veterans Affairs

Rep. Filner urged attendees to ask their members of Congress to co-sign the Chiropractic Care to All Veterans Act—legislation he introduced in the U.S. House of Representatives. The bill would require the Department of Veterans Affairs (VA) to have a chiropractic physician on staff at all major VA medical facilities by 2014.

Through previous congressional action, the services provided by doctors of chiropractic are available at 42 VA facilities across the country; however, in the more than 100 major VA medical facilities without a chiropractic physician on staff, the chiropractic care benefit Congress authorized for America's veterans remains virtually nonexistent.

In his address to attendees, ACA President Keith Overland, DC, emphasized the role of DCs as primary care providers and the power that constituents wield on Capitol Hill. "We are neuromusculoskeletal experts and in fact practically invented the concept of wellness and prevention. Our doctors are fully qualified to help with the primary care shortage in the United States," he said. "But don't just talk to your congressional representatives about it today. Change in Washington, D.C. does not come easy; however, especially in an election year, elected officials will listen to your opinion right in your home town."

The evening before NCLC, the popular congressional reception—sponsored by Standard Process—was well-attended by doctors, students and lawmakers alike. This year’s event featured two particularly prominent political figures, Dick Gephardt, former House Majority Leader and president and CEO of Gephardt Government Affairs and Former House Speaker Rep. Nancy Pelosi (D – Calif.). Both distinguished guests emphasized the need for whole-person care for all Americans and the necessity of filling the primary care workforce gap.

ACA House of Delegates Meeting

Following NCLC, the ACA House of Delegates (HOD) held its annual meeting. The HOD approved important policies supporting ACA’s efforts to position DCs as conservative primary care doctors who can help fill the looming primary care workforce gap. Among them:

"Public Health Concerns Due to Failure to Differentially Diagnose." ACA condemns as a threat to public health the failure by doctors of chiropractic/chiropractic physicians to adequately differentially diagnose and/or to sell treatment packages in the absence of a differential diagnosis. Such practices are contrary to the doctorate level of education inferred by our degree. Furthermore, they are contrary to the universally accepted standards of care and do not represent the customary practices of a member doctor of this organization.

Additionally, panel discussions were held on timely topics for the chiropractic profession as the U.S. debates the transformation of its health care system. Topics included:

A discussion among nine chiropractic college presidents about the doctor of chiropractic as a primary care provider.

A discussion about the current state of chiropractic research by some of the profession's most respected researchers.

A discussion about the need to improve cultural authority for the chiropractic profession held by 6 of the profession’s major organizations.

Photographs from the meetings are available upon request and will be available online soon.

The American Chiropractic Association (ACA), based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.